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|keywords= Principles, diagnosis, management,medical emergencies,life-threatening condition, medical system healthcare, symbiohealth, charak samhita, caraka samhita, Indian system of medicine,alternative medicine, complementary medicine

|keywords= Principles, diagnosis,management, medical emergencies, life-threatening condition, medical system healthcare, symbiohealth, charak samhita, caraka samhita, Indian system of medicine, alternative medicine, complementary medicine

|description= Principles of diagnosis and management of medical emergencies in Ayurveda are described.   

|description= Principles of diagnosis and management of medical emergencies in Ayurveda are described.   

|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg

|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg

|label2 = Author

|label2 = Author

|data2 = ¹Dixit U.

|data2 = Dixit U.¹

|label3 = Reviewers  

|label3 = Reviewers  

“Do not fear. You won’t die. We will save your life. “[Atharva veda 5.30.8]  

“Do not fear. You won’t die. We will save your life. “[Atharva veda 5.30.8]  

Ashtanga Hridaya quotes, [[Ayurveda]] can save the life of a person from the noose of death by using various measures. [A.Hr.uttara tantra 44/74]  

Ashtanga Hridaya quotes, [[Ayurveda]] can save the life of a person from the noose of death by using various measures. [A.Hr.Uttara tantra 44/74]  

It shows that medical emergency measures were handled successfully in ancient times to save human lives. Though no science can completely assure to prevent death, the physician has to try to save a life until the last breath. The physician is required to study the management of medical emergencies to find better, safe, and cost-effective healthcare solutions to save lives.   

It shows that medical emergency measures were handled successfully in ancient times to save human lives. Though no science can completely assure to prevent death, the physician has to try to save a life until the last breath. The physician is required to study the management of medical emergencies to find better, safe, and cost-effective healthcare solutions to save lives.   

==Management of emergency conditions==

==Management of emergency conditions==

The principles of management of emergency conditions include:  

The principles of management of emergency conditions include:  

To make proper use of these medicines to save the life of the patients, it is necessary to understand the exact mode of action of these medicines. With such knowledge, the physician can select appropriate medicine in the appropriate conditions. Here is a summary of the mode of action of these three most important medicines-

To make proper use of these medicines to save the life of the patients, it is necessary to understand the exact mode of action of these medicines. With such knowledge, the physician can select appropriate medicine in the appropriate conditions. Here is a summary of the mode of action of these three most important medicines-

'''1. Hemagarbha-'''

===1. Hemagarbha===

* The veiling of tamas (inertia) on intellect ([[buddhi]]) and mind ([[mana]]) is removed and consciousness is regained and maintained.

* The veiling of tamas (inertia) on intellect ([[buddhi]]) and mind ([[mana]]) is removed and consciousness is regained and maintained.

* Specially used in Shlaishmika ([[kapha]] dominant), Antrika (intestinal affliction), and shvasanaka sannipata (respiratory affliction), tamaka-maha and urdhva shvasa, sanyasa etc.

* Specially used in Shlaishmika ([[kapha]] dominant), Antrika (intestinal affliction), and shvasanaka sannipata (respiratory affliction), tamaka-maha and urdhva shvasa, sanyasa etc.

'''2. Trailokyachintamani rasa:'''

===2. Trailokyachintamani rasa===

* Removes the veiling of abnormal [[kapha dosha]]

* Removes the veiling of abnormal [[kapha dosha]]

* Specially used in critical conditions of hemiplegia (pakhaghata) and other [[vata]] dominant [[vyadhi]], in patients with severe debility

* Specially used in critical conditions of hemiplegia (pakhaghata) and other [[vata]] dominant [[vyadhi]], in patients with severe debility

'''3. Suvarna  Sootashekhara-'''

===3. Suvarna  Sootashekhara===

* Best medicine for restoring the normalcy of all three [[dosha]].

* Best medicine for restoring the normalcy of all three [[dosha]].

These pharmacological activities are observed in clinical experiences. More research on experimental models can be done on these medicines.  

These pharmacological activities are observed in clinical experiences. More research on experimental models can be done on these medicines.  

Usually, these medicines are levigated on a specific levigating stone and applied on the gums of unconscious patients. For levigation, a small drop of honey and in specific conditions,  2-3 drops of ginger juice are used. The medicine is in minute quantity, so chances of entering into the respiratory tract are minimum.The medicine starts showing its actions within a few seconds. Many of such patients are in the intensive care unit (I.C.U.), on monitors. In such patients, the changes in heart rate, blood pressure, respiratory rate, etc. are observed instantaneously.  Eg. The hemagarbha pottali was observed to instantaneously increase heart rate and improve the rate of respiration after application on gums in intensive care patients. Further research is needed to study the exact mode of action of these medicines.  

Usually, these medicines are levigated on a specific levigating stone and applied on the gums of unconscious patients. For levigation, a small drop of honey and in specific conditions,  2-3 drops of ginger juice are used. The medicine is in minute quantity, so chances of entering into the respiratory tract are minimum. The medicine starts showing its actions within a few seconds. Many of such patients are in the intensive care unit (I.C.U.), on monitors. In such patients, the changes in heart rate, blood pressure, respiratory rate, etc. are observed instantaneously.  Eg. The hemagarbha pottali was observed to instantaneously increase heart rate and improve the rate of respiration after application on gums in intensive care patients. Further research is needed to study the exact mode of action of these medicines.  

    

    

[[Ayurveda]] has described the criteria for prognosis of  patients. Charaka Samhita presents a separate section on the prognosis of the patients and specific signs and symptoms observed in the critical patients (arishta), indicating certain death in the near future. In such patients, a complete cure is not possible. But even in these patients, it is observed that the life span can be extended for some time with Ayurvedic emergency medicines. If such signs and symptoms(Arishta), are not observed, the patient can survive for a longer period.

[[Ayurveda]] has described the criteria for prognosis of  patients. Charaka Samhita presents a separate section on the prognosis of the patients and specific signs and symptoms observed in the critical patients (arishta), indicating certain death in the near future. In such patients, a complete cure is not possible. But even in these patients, it is observed that the life span can be extended for some time with Ayurvedic emergency medicines. If such signs and symptoms(Arishta), are not observed, the patient can survive for a longer period.

==Importance of food==  

==Importance of food==  

Food plays an essential role in maintaining vitality in critical conditions. If the food is not given as per the digestive capacity ([[agni]]) of the patient, then it leads to the formation of toxic metabolites (ama). This further blocks the channels of transportation of nutrients (srotasa) and worsens the condition. Therefore, easy-to-digest food like green gram soup (mudga yusha) is advisable to be given in critical cases. The wholesome food that is suitable to the patient and helpful in treating underlying disease conditions is advised.

Food plays an essential role in maintaining vitality in critical conditions. If the food is not given as per the digestive capacity ([[agni]]) of the patient, then it leads to the formation of toxic metabolites ([[ama]]). This further blocks the channels of transportation of nutrients ([[srotasa]]) and worsens the condition. Therefore, easy-to-digest food like green gram soup (mudga yusha) is advisable to be given in critical cases. The wholesome food that is suitable to the patient and helpful in treating underlying disease conditions is advised.

==Experience-based evidence ==  

==Experience-based evidence ==  

It is difficult to maintain documentation of all cases while managing emergency medical conditions because the priority of the physician at that time is to save the life of the patient. There are further limitations to access case records of the patients from hospitals. The author has tried to maintain the records, as far as possible. The author has treated more than 170 critical patients in intensive care units of various hospitals in Goa and outside. In many of these patients, when the ongoing modern medical treatment was not showing the desired effects, Ayurvedic treatment was given as an adjuvant,Some patients were treated with Ayurvedic treatment only.Even during the pandemic of SARS COVID 19, around 40 patients showed better improvement when Ayurvedic treatment was given as an adjuvant to the modern medicines  

It is difficult to maintain documentation of all cases while managing emergency medical conditions because the priority of the physician at that time is to save the life of the patient. There are further limitations to access case records of the patients from hospitals. The author has tried to maintain the records, as far as possible. The author has treated more than 170 critical patients in intensive care units of various hospitals in Goa and outside. In many of these patients, when the ongoing modern medical treatment was not showing the desired effects, Ayurvedic treatment was given as an adjuvant. Some patients were treated with Ayurvedic treatment only. Even during the pandemic of SARS COVID 19, around 40 patients showed better improvement when Ayurvedic treatment was given as an adjuvant to the modern medicines  

 

==Acute conditions==

==Acute conditions==

[[Ayurveda]] has the potential to treat various acute conditions. For this, various methods of management and quick-acting medicines are available. The author has experienced various such conditions like high fevers, acute asthmatic exacerbation, hiccups, hypertension and hypotension, diarrhea including cholera, and gastroenteritis. In such acute conditions, it is experienced that [[Ayurveda]] has quick-acting medicines by which improvements can be observed right from the first dose, and within a few minutes changes are noted.

[[Ayurveda]] has the potential to treat various acute conditions. For this, various methods of management and quick-acting medicines are available. The author has experienced various such conditions like high fevers, acute asthmatic exacerbation, hiccups, hypertension and hypotension, diarrhea including cholera, and gastroenteritis. In such acute conditions, it is experienced that [[Ayurveda]] has quick-acting medicines by which improvements can be observed right from the first dose, and within a few minutes changes are noted.